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The ProviderTrust Blog

Your source for healthcare compliance news, advice from industry experts, and all things related to OIG exclusions.

Industry News, Healthcare Compliance, Fraud and Abuse

Health Care Fraud a High Priority for the DOJ

Posted by Michael Rosen, ESQ on Tue, Jun 06, 2017

This year’s American Bar Association’s 27th Annual Institute on Health Care Fraud featured Acting Assistant Attorney General Kenneth Blanco, of the Criminal Division of the Department of Justice (DOJ). Mr. Blanco reiterated Attorney General Jeff Sessions’ commitment to ferreting and fighting fraud and abuse.

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OIG Exclusion List, Healthcare Compliance, OIG

The ABC's of OIG Exclusion Monitoring

Posted by Mike Rosen on Fri, Jun 02, 2017

* Updated from original post on 12/17/2015

Healthcare compliance is complicated and full of regulations, guidelines, and oversight. Since federal tax dollars are used to reimburse health care providers for services, the Department of Health and Human Services (HHS) as well as the Department of Justice (DOJ) have oversight on how those dollars are spent. The purpose of this blog post is to give a basic understanding of exclusions, industry best practices, and a brief description of the federal exclusion databases.

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Medicare, Fraud and Abuse, OIG Exclusion

When a Five Year Exclusion Became Fifteen

Posted by Michael Rosen, ESQ on Tue, May 30, 2017

What’s the expression - if at first you don’t succeed, try, try, and try again? One way to continue to be on the OIG list of bad actors is to get caught, become excluded, and continue to bill Medicare.

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OIG, Medicaid, Fraud and Abuse

Mother and Son Conspire to Defraud Medicaid

Posted by Michael Rosen, ESQ on Thu, May 25, 2017

Does it matter whose license is used to bill CMS for services? Don’t ask these moms - they don’t know best!

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Industry News, OIG, ProviderTrust News, HCCA

2017 HCCA Annual Compliance Institute Resources

Posted by Michael Rosen, ESQ on Tue, May 23, 2017

How’s your week going so far? We hope that you are running full force and tackling the latest compliance challenges! We pride ourselves on supplying you with quality information and solutions for you and your organization to reach your goals!

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